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Open tension-free repair is a surgical technique used to repair inguinal hernias. It involves: 1. Open approach: A small incision is made in the groin area. 2. Dissection: The hernia sac is dissected and reduced. 3. Mesh placement: A synthetic mesh is placed over the hernia defect, without tension. 4. Fixation: The mesh is fixed in place with sutures or tacks. Characteristics: 1. Tension-free: The mesh is not pulled tight, reducing tension on the surrounding tissue. 2. Open approach: A small incision is used, rather than a laparoscopic approach. 3. Synthetic mesh: A durable, non-absorbable mesh is used to reinforce the repair. Advantages: 1. Low recurrence rate 2. Quick recovery 3. Minimally invasive 4. Can be performed under local anesthesia Indications: 1. Small to medium-sized inguinal hernias 2. Primary or recurrent hernias 3. Patients with low to moderate risk of recurrence Contraindications: 1. Large or complex hernias 2. Patients with significant tissue weakness or defects 3. Recurrent hernias with multiple previous repairs Surgeons may prefer open tension-free repair for its simplicity, effectiveness, and low complication rate. However, the choice of technique depends on the individual patient and surgeon preference. #Inguinalhernia